Wayne H Winegarden
Commentary
A Real and Present Threat to Alzheimer’s Patients
It’s a quintessential government outcome. A program intended to increase access to promising medical innovations is actually preventing Medicare beneficiaries from receiving FDA-approved treatments. Medicare’s “coverage with evidence development” (CED) was never authorized by Congress. Instead, the Centers for Medicare & Medicaid Services created the program in 2005 by leveraging ...
Health Care
New Study: Medicare’s Price Controls Are Fueling America’s Growing Doctor Shortage
The Pacific Research Institute’s Center for Medical Economics and Innovation today released a new issue brief warning that continued federal underpayment of doctors is fueling a looming healthcare crisis by accelerating the nation’s physician shortage and undermining access to care. Written by PRI senior fellow in business and economics and ...
Blog
Spending Watch
Budget Gimmicks Will Not Solve The State’s Fiscal Crisis
Budget Gimmicks Will Not Solve The State’s Fiscal Crisis Wayne Winegarden June 2025 It’s budget crunch time for Gov. Newsom and legislative leaders. The immediate problem is closing the estimated $12 billion budget shortfall for the FY2025-26 budget. Despite this serious fiscal challenge, the Governor’s budget proposal demonstrates an unseriousness ...
Business & Economics
Tariffs Either Can’t, Won’t, Or Shouldn’t Re-shore Manufacturing Jobs
Despite the unanimous ruling from the Court of International Trade, the Supreme Court will likely decide whether the International Emergency Economic Powers Act empowers President Trump to levy global tariffs. As this process will take time to play out, economic uncertainty will persist for the foreseeable future. What isn’t uncertain ...
California
Can California afford costly climate change programs in a grim budget year?
It was not supposed to be this way. In the throes of last year’s budget turmoil, California’s spending plan at that time was supposed to bring stability. Yet here we are. Another May Revision, another budget deficit — this time for $12 billion. While Gov. Gavin Newsom is right — ...
Blog
Spending Watch
Covering Undocumented Immigrants Will Worsen The State’s Fiscal Crisis
Covering Undocumented Immigrants Will Worsen The State’s Fiscal Crisis Wayne Winegarden May 2025 A previous Spending Watch analysis estimated the fiscal and economic impact of funding Medi-Cal benefits to undocumented immigrants. The analysis estimated that the expansion will require an additional $11.6 billion in expenditures, which will impose large economic ...
Commentary
Trump Should Support Effective Drug Policy Reforms Not The MFN Gimmick
The Trump Administration has announced its desire to impose price controls on drugs – officially called a most favored nation (MFN) policy. Essentially, the policy sets the price for the targeted drugs at the lowest price in other industrialized countries. The president’s justification for the MFN is simple: Americans are ...
California
PRI On NPR: California Created Its Budget Woes
Winegarden joins Insight with his perspective on the state’s fiscal priorities and budget challenges. Listen to the entire interview here.
Commentary
Congress Should Not Impose Foreign Price Controls On Innovative Drugs
Simple and neat solutions are alluring but often wrong. A case in point is President Trump’s proposal to adopt a most favored nation (MFN) policy. The MFN sets Medicaid’s price for a drug at the lowest price charged in other developed countries each of which has price controls on drugs. ...
Commentary
Deregulation Is The Pathway To Greater Pharmaceutical Innovation
Surveys confirm that most Americans recognize the value of prescription drugs. But the same surveys also show that Americans are worried that they will be unable to afford needed medicines. These conflicting feelings exemplify the inherent tension when it comes to prescription drugs – how do we incentivize innovation to ...
A Real and Present Threat to Alzheimer’s Patients
It’s a quintessential government outcome. A program intended to increase access to promising medical innovations is actually preventing Medicare beneficiaries from receiving FDA-approved treatments. Medicare’s “coverage with evidence development” (CED) was never authorized by Congress. Instead, the Centers for Medicare & Medicaid Services created the program in 2005 by leveraging ...
New Study: Medicare’s Price Controls Are Fueling America’s Growing Doctor Shortage
The Pacific Research Institute’s Center for Medical Economics and Innovation today released a new issue brief warning that continued federal underpayment of doctors is fueling a looming healthcare crisis by accelerating the nation’s physician shortage and undermining access to care. Written by PRI senior fellow in business and economics and ...
Spending Watch
Budget Gimmicks Will Not Solve The State’s Fiscal Crisis
Budget Gimmicks Will Not Solve The State’s Fiscal Crisis Wayne Winegarden June 2025 It’s budget crunch time for Gov. Newsom and legislative leaders. The immediate problem is closing the estimated $12 billion budget shortfall for the FY2025-26 budget. Despite this serious fiscal challenge, the Governor’s budget proposal demonstrates an unseriousness ...
Tariffs Either Can’t, Won’t, Or Shouldn’t Re-shore Manufacturing Jobs
Despite the unanimous ruling from the Court of International Trade, the Supreme Court will likely decide whether the International Emergency Economic Powers Act empowers President Trump to levy global tariffs. As this process will take time to play out, economic uncertainty will persist for the foreseeable future. What isn’t uncertain ...
Can California afford costly climate change programs in a grim budget year?
It was not supposed to be this way. In the throes of last year’s budget turmoil, California’s spending plan at that time was supposed to bring stability. Yet here we are. Another May Revision, another budget deficit — this time for $12 billion. While Gov. Gavin Newsom is right — ...
Spending Watch
Covering Undocumented Immigrants Will Worsen The State’s Fiscal Crisis
Covering Undocumented Immigrants Will Worsen The State’s Fiscal Crisis Wayne Winegarden May 2025 A previous Spending Watch analysis estimated the fiscal and economic impact of funding Medi-Cal benefits to undocumented immigrants. The analysis estimated that the expansion will require an additional $11.6 billion in expenditures, which will impose large economic ...
Trump Should Support Effective Drug Policy Reforms Not The MFN Gimmick
The Trump Administration has announced its desire to impose price controls on drugs – officially called a most favored nation (MFN) policy. Essentially, the policy sets the price for the targeted drugs at the lowest price in other industrialized countries. The president’s justification for the MFN is simple: Americans are ...
PRI On NPR: California Created Its Budget Woes
Winegarden joins Insight with his perspective on the state’s fiscal priorities and budget challenges. Listen to the entire interview here.
Congress Should Not Impose Foreign Price Controls On Innovative Drugs
Simple and neat solutions are alluring but often wrong. A case in point is President Trump’s proposal to adopt a most favored nation (MFN) policy. The MFN sets Medicaid’s price for a drug at the lowest price charged in other developed countries each of which has price controls on drugs. ...
Deregulation Is The Pathway To Greater Pharmaceutical Innovation
Surveys confirm that most Americans recognize the value of prescription drugs. But the same surveys also show that Americans are worried that they will be unable to afford needed medicines. These conflicting feelings exemplify the inherent tension when it comes to prescription drugs – how do we incentivize innovation to ...
